Let’s work together(Acting Coach) Name * First Name Last Name Email * Phone * Country (###) ### #### Which gender best describes you? * Female Male Transgender Other Prefer not to say Gender Pronouns Do you have any formal training in acting or performing arts? * Yes No If yes, please specify the institution, degree, and year of completion * How many years of experience do you have as an acting coach? * Which age groups do you have experience working with? * Tick All That Apply 3-6 years 7-10 years 11-13 years 14-17 years 18+ years Which acting techniques / acting practitioners best describe your teaching style? * Are you actively working in the acting industry (Film, TV, Theatre etc.) * Yes No Do you have any other supporting qualifications or certificates? * Yes No If yes please list below and include year obtained. * Do you have experience teaching individuals with learning/ behavioural differences and or difficulties? * Yes No Have you received any training in safeguarding children and young people? * Yes No If yes, please provide details of the training (e.g., course name, date of completion, and certifying body). * Have you ever been involved in handling a safeguarding concern involving children? * Yes No If yes, please provide a brief, anonymised description of the situation and how you handled it. * Have you ever been convicted of a criminal offence? * Yes No If yes, please provide details, including the date and nature of the offence. * Are you currently barred from working with children or vulnerable individuals under the Disclosure and Barring Service (DBS) in the UK? * Yes No Have you ever been investigated, cautioned, or disciplined for inappropriate behaviour towards children or young people? * Yes No If yes, please provide details * Do you consent to undergoing an Enhanced DBS check, including a check against the Barred List, as part of the application process? * Yes No Do you already hold an Enhanced DBS certificate? * Yes No If yes, please provide details, including the certificate number, issue date, and issuing authority * Do you have any medical conditions, disabilities, or allergies that could affect your ability to supervise children safely? * Yes No Is there anything else you’d like to disclose that is relevant to your ability to work safely and responsibly with children? * Thank you- We will be in touch soon!